Looking some help here.
Starting levels were 325 ng/dL Total T, 45 pg/dL free T and Estradiol started high at 45 pg/mL
Started my journey 11 weeks ago. Taking 180mg Test E per week broken up into 2 doses Sunday mornings and Wednesday evenings. Self prescribed.
Just had my bloodwork done a week ago.
Total T 1333 ng/dL. 362 pg/dLFree T and 196 pg/dL Estradiol
I’m definitely feeling some better, back in the gym, gaining muscle and losing weight.
I occasionally have slightly sensitive nipples and probably some water weight but I’ve always had water weight. Libido seems better and erections are better most of the time.
42, 5’6 @ 250# probably high 30’s bf %. So I know that is having some affect on aromatization.
Should I start an AI?
I’d suggest lowering dose first, assuming you are on “self-prescribed” TRT with the intent of overall health not just "enhancement ".
And yes, high BF is the culprit (along with T dose). My estrogen doubled on 120 mg and my bodyfat was 20% when I started TRT (I had assumed it was lower. We all do).
My weekly dose is now 100 mg/week total and after dropping 20 lbs, estrogen is perfectly in range. My free T stays high normal on 100 mg/week.
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What i will say isnt going to be popular, but i have been blasting and cruising test and sometimes test/deca I have gotten up to 750 test/ 500 deca and never even considered AI…well when i first got to 750 test, i had some water retention. Lol…had cankles, and i thought i had breasts, but i just powered through and it went away.
I think people are terrified of estrogen, but it isnt a bad thing. When you first start, if you have higher bodyfat, you are going to have a bit more estrogen sides, but you will lose fat, gain muscle, and it will go away. My acne on shoulders was insane. Now it is gone.
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All other options aside, you may benefit from micro daily dosing on its own while you address the other items.